TY - JOUR
T1 - Patients' prior perceptions and expectations of the Enhanced Transtheoretical Model Intervention for chronic low back pain
T2 - A qualitative study
AU - Feldman, Ron
AU - Nudelman, Yaniv
AU - Haleva-Amir, Sharon
AU - Ben Ami, Noa
N1 - Publisher Copyright:
© 2021 John Wiley & Sons Ltd.
PY - 2022/6
Y1 - 2022/6
N2 - Background: The Enhanced Transtheoretical Model Intervention (ETMI) is an approach for treating chronic low back pain (CLBP), which demonstrated clinical and cost-effectiveness outcomes. ETMI highlights reassurance, return to normal activities and encouragement of recreational physical activity. In order to optimally implement ETMI, it is important to gain an understanding of the expectations and perceptions of patients before they engage with the intervention. Objectives: To explore CLBP patients' perceptions and expectations of the ETMI method prior to their first consultation with physiotherapist. Methods: Qualitative semi-structured interviews were conducted with 30 CLBP patients. The interviews were audio-recorded, transcribed, coded, and analysed thematically. Patients were first asked about their expectations of treatment, then they were asked to comment on the ETMI method. Results: Three main themes emerged from the interviews: (1) Patient's perceptions of LBP; (2) patient's expectations from current physiotherapy and (3) Patient's expectations from ETMI method. The patients' perceptions of back pain centred on biomechanical causal factors, a desire for diagnostic tests and beliefs that rest cures the pain. Their expectations from current physiotherapy included pain reduction, passive treatment, a structured exercise program and clear information about LBP. In reference to the ETMI method, patients expected pain reduction, practical tools to self-manage, and a combination of ETMI with passive treatment. Conclusion: addressing issues around patient's perceptions and expectations of current physiotherapy and of the ETMI method, prior to their first consultation with physiotherapist, could be beneficial for understanding how to improve the ETMI implementation in the health care system.
AB - Background: The Enhanced Transtheoretical Model Intervention (ETMI) is an approach for treating chronic low back pain (CLBP), which demonstrated clinical and cost-effectiveness outcomes. ETMI highlights reassurance, return to normal activities and encouragement of recreational physical activity. In order to optimally implement ETMI, it is important to gain an understanding of the expectations and perceptions of patients before they engage with the intervention. Objectives: To explore CLBP patients' perceptions and expectations of the ETMI method prior to their first consultation with physiotherapist. Methods: Qualitative semi-structured interviews were conducted with 30 CLBP patients. The interviews were audio-recorded, transcribed, coded, and analysed thematically. Patients were first asked about their expectations of treatment, then they were asked to comment on the ETMI method. Results: Three main themes emerged from the interviews: (1) Patient's perceptions of LBP; (2) patient's expectations from current physiotherapy and (3) Patient's expectations from ETMI method. The patients' perceptions of back pain centred on biomechanical causal factors, a desire for diagnostic tests and beliefs that rest cures the pain. Their expectations from current physiotherapy included pain reduction, passive treatment, a structured exercise program and clear information about LBP. In reference to the ETMI method, patients expected pain reduction, practical tools to self-manage, and a combination of ETMI with passive treatment. Conclusion: addressing issues around patient's perceptions and expectations of current physiotherapy and of the ETMI method, prior to their first consultation with physiotherapist, could be beneficial for understanding how to improve the ETMI implementation in the health care system.
KW - health services research
KW - low back pain
KW - patients expectations
KW - physical therapy
UR - http://www.scopus.com/inward/record.url?scp=85118337487&partnerID=8YFLogxK
U2 - 10.1002/msc.1600
DO - 10.1002/msc.1600
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C2 - 34726320
AN - SCOPUS:85118337487
SN - 1478-2189
VL - 20
SP - 371
EP - 382
JO - Musculoskeletal Care
JF - Musculoskeletal Care
IS - 2
ER -